Modern Revival Therapy LLC
Modern Revival Therapy LLC provides Clinical Social Worker services in Livonia, Michigan. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
31560 Schoolcraft RdLivonia, MI 48150-1805
Phone: (989) 619-2641
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1023958394 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Emily Thayer — Owner · (989) 619-2641 |
| NPI enumerated | March 30, 2026 |
| Last updated in NPPES | April 6, 2026 |
| Certification date | April 6, 2026 |
| Mailing address | 31560 Schoolcraft Rd, Livonia, MI 48150-1805 |
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